Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $891.25 / $1,230.27	Professional		$251.19	$891.25	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $380.19	Professional		$251.19	$251.19	$380.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,318.26 / $2,511.89	Facility		$380.19	$1,318.26	$2,511.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,122.02 / $1,737.80	Professional		$870.96	$1,122.02	$1,737.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $380.19	Professional		$251.19	$251.19	$380.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,344.23 / $3,019.95	Facility		$1,348.96	$2,344.23	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $2,041.74	Professional		$870.96	$1,096.48	$2,041.74